Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Dexmedetomidine-ketamine-lignocaine: Bispectral index guided non-opioids (Target Controlled Infusion of dexmedetomidine at effect site concentration 1.2ng/ml throughout robotic surgery
Sponsors
Dr Shagun Bhatia Shah
Eligibility
Inclusion criteria
Inclusion criteria: ASA I-III patients Weighing 51-80kg Undergoing elective robot-assisted radical prostatectomy
Exclusion criteria
Exclusion criteria: Patients who refuse to give consent Local anaesthetic allergy Glaucoma Raised intracranial pressure Deranged hepatic Function tests Deranged renal function tests Chronic opioid use Psychiatric illness Bradyarrhythmias
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality of Recovery 15 ScoreTimepoint: Measured at baseline at 24 hours before surgery, and at 24 hours after end of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart RateTimepoint: Measured at baseline, induction, intubation, pneumoperitoneum, docking, 30 min after docking, 60min after docking, 90min after docking, 120min after docking, on supination, at extubation, 1 hour post extubation, 2 hours post extubation, 4 hours post extubation, 6 hours post extubation, 12 hours post extubation, and 24 hours post extubation;Mean Arterial PressureTimepoint: Measured at baseline, induction, intubation, pneumoperitoneum, docking, 30 min after docking, 60min after docking, 90min after docking, 120min after docking, on supination, at extubation, 1 hour post extubation, 2 hours post extubation, 4 hours post extubation, 6 hours post extubation, 12 hours post extubation, and 24 hours post extubation;Bispectral IndexTimepoint: Measured at baseline, induction, intubation, pneumoperitoneum, docking, 30 min after docking, 60min after docking, 90min after docking, 120min after docking, and on supination;Respiratory RateTimepoint: Measured at extubation, 1 hour post extubation, 2 hours post extubation, 4 hours post extubation, 6 hours post extubation, 12 hours post extubation, and 24 hours post extubation;Numeric Rating Scale Score for PainTimepoint: Measured at extubation, 1 hour post extubation, 2 hours post extubation, 4 hours post extubation, 6 hours post extubation, 12 hours post extubation, and 24 hours post extubation;Total Fentanyl consumptionTimepoint: Measured at end of surgery and 24 hours after surgery;Total Morphine consumptionTimepoint: Measured at end of surgery and 24 hours after surgery;Opioid Related Adverse EventsTimepoint: Measured 24 hours after surgery;Time to first analgesicTimepoint: Measured 24 hours after surgery;Post Operative Nausea and VomitingTimepoint: Measured 24 hours after surgery;Time to ambulationTimepoint: Measured 24 hours after surgery;Time to oral intakeTimepoint: Measured 24 hours after surgery;Length of surgical intensive care unit stayTimepoint: Measured on shifting the patient to ward;Drug relate | — |
Countries
India
Contacts
Public ContactDr Shagun Bhatia Shah
Rajiv Gandhi Cancer Institute and Research Centre
Outcome results
None listed